Individual provider Active NPI

Shawna Marie Wise

  • Addiction (Substance Use Disorder) Counselor
  • Wheelersburg, OH
National Provider Identifier
1407449770
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
8308 Ohio River Rd Ste B
Wheelersburg, OH 45694-1713
Phone
(740) 529-8328
Fax
(740) 876-8854
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X OH
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

8308 Ohio River Rd Ste B
Wheelersburg, OH 45694-1713

Mailing address

8308 Ohio River Rd Ste B
Wheelersburg, OH 45694-1713
Phone (740) 529-1201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Now Counseling and Treatment LLC Addiction (Substance Use Disorder) CurrentSince Feb 9, 2025 Accepting new patients
Focus Residential Group, LLC PastSince Feb 1, 2021 Accepting new patients
Serenity Now Counseling and Treatment LLC PastSince Feb 9, 2025 Accepting new patients
Focus Residential Group, LLC PastSince Feb 1, 2021 Accepting new patients

Locations

8308 Ohio River Rd
Ste B
Wheelersburg, OH 45694
Phone (740) 529-1201

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/focusresidential/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1407449770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8308 OHIO RIVER RD STE B",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941713",
            "telephone_number": "740-529-1201",
            "fax_number": "740-876-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8308 OHIO RIVER RD STE B",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456941713",
            "telephone_number": "740-529-8328",
            "fax_number": "740-876-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "SHAWNA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheelersburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.